Treeo Autism and Behavior Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TREEO AUTISM AND BEHAVIOR SERVICES

Practice address

2145 US Highway 441
Leesburg, FL 34748-2541

Phone

(352) 234-3027

Fax

(352) 241-9576

NPI assigned

Sep 8, 2021

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon Davy Dickens, BCBANPI 1114442951

Title

Owner

Phone

(352) 234-3027

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Davy Dickens

  • Behavior Analyst
  • Orlando, FL
  • NPI 1114442951
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1295404788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482541",
            "telephone_number": "352-234-3027",
            "fax_number": "352-241-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482541",
            "telephone_number": "352-234-3027",
            "fax_number": "352-241-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREEO AUTISM AND BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DAVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-234-3027",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.